| NPI | 1043940133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 528446) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 2098) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2026-08-17 |